Garland Kids Clinic LLC

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA03931 Issued in TX

Legal business name

GARLAND KIDS CLINIC LLC

Practice address

323 N Shiloh Rd
Garland, TX 75042-6610

Phone

(972) 272-2777

NPI assigned

Feb 8, 2017

Last updated

Feb 8, 2017By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Alberto Lopez, PA-C

Title

Manager

Phone

(972) 272-2777

Specialties & licenses 1

Addresses

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Carla Jean Cole, D.O.

  • Pediatrics Physician
  • Garland, TX
  • NPI 1932155942
  NPD (past)
• Alexandra Nicole Hembree, APRN

  • Nurse Practitioner
  • Tyler, TX
  • NPI 1881210656
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1486512000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1486512000000",
    "number": "1073051207",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "323 N SHILOH RD",
            "city": "GARLAND",
            "state": "TX",
            "postal_code": "750426610",
            "telephone_number": "972-272-2777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "323 N SHILOH RD",
            "city": "GARLAND",
            "state": "TX",
            "postal_code": "750426610",
            "telephone_number": "972-272-2777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GARLAND KIDS CLINIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-02-08",
        "last_updated": "2017-02-08",
        "status": "A",
        "authorized_official_last_name": "LOPEZ",
        "authorized_official_first_name": "ALBERTO",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "972-272-2777",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PA-C"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physician Assistant",
            "state": "TX",
            "license": "PA03931",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Garland Home Healthcare Agency Inc
• Garland Independent School District
• Garland Independent Scool District (GISD Employee Clinic)
• Garland Integrated Healthcare PLLC
• Garland Isd
• Garland Main Dental Group PA (Optima Dentistry at Garland)
• Garland Neurological Clinic PA
• Garland Nursing and Rehabilitation LP
• Garland Operations, LLC (Elmcroft of Garland)
• Garland Oral Surgery & Dental Implant Center, P.a.

• Physician Assistant in Garland, TX
• Providers in Garland, TX by specialty
• Physician Assistant in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.